PSY Mod 4 Poster
PART TWO: DEATH
EXPERIENCING DEATH IN AMERICA
Corr, Corr, & Doka, Death & Dying, Life & Living, 8th edition
© 2019 Cengage. All rights reserved.
© 2019 Cengage. All rights reserved.
Experiencing Death in America
Death-related experiences include:
Death-related encounters
How do we come upon or meet with death in our lives?
Death-related attitudes
What are our feelings or outlooks about death?
Death-related practices
What behaviors & rituals do we associate with death?
© 2019 Cengage. All rights reserved.
DEATH&DYING, LIFE & LIVING
Eighth edition
Chapter 2
Changing Encounters with Death
© 2019 Cengage. All rights reserved.
© 2019 Cengage. All rights reserved.
© 2019 Cengage. All rights reserved.
3
Changing Encounters with Death
© 2019 Cengage. All rights reserved.
© 2019 Cengage. All rights reserved.
4
Examples of Two Different Types of Recent Encounters with Death
© 2019 Cengage. All rights reserved.
Chapter Objectives
To define and explain death-related encounters as a component of death-related experiences
To identify principal features of death-related encounters in the United States early in the 21st century
To indicate some ways in which these principal features have changed over time
To describe six factors associated with these changes
© 2019 Cengage. All rights reserved.
Death-Related Encounters in 21st Century America
Five principal features define contemporary encounters with death
Death rates
Average life expectancy
Causes of death
Dying trajectories
Place where death occurs
© 2019 Cengage. All rights reserved.
Encounters with Death in 21st Century American Society
Death Rates
Number of people who die:
Within a specific time period
Ex: Day, month, year, 10 years, 100 years, etc.
Within a specific group
Ex: Age, race, gender, social Class
Typically expressed per 1,000 or 100,000 persons
Death rates in the United States in 2014:
Crude/unadjusted = 8.0 per 1,000
Age-adjusted = 724.6 per 100,000
© 2019 Cengage. All rights reserved.
Changes in Encounters with Death in American Society (1 of 7)
Death Rates ~ Overall
Important Changes
Dramatic reduction in overall death rates since 1900
47% decline from 1900 to 1954
11% decline from 1954 to 2014
more than 52% decline from 1900 to 2014
Significant Implications
Americans personally encounter death much less frequently than in previous generations
Death often seems strange & alien
© 2019 Cengage. All rights reserved.
Changes in Encounters with Death in American Society (2 of 7)
Death Rates ~ Gender & Social Class
The gender gap remains
Age-adjusted death rates for males are notably higher than those for females
The social class gap remains
Members of the upper and middle social class tend to have lower death rates than those in lower social classes
© 2019 Cengage. All rights reserved.
Changes in Encounters with Death in American Society (3 of 7)
Death Rates ~ Dramatic Reductions
Infant Death Rates
Infant death rate was 28 times higher in 1900 than in 2014
Nevertheless, with 5.82 infant deaths per 1,000 live births the United States lags behind 26 other countries, 8 of which had infant death rates less than half those of the United States
Maternal Death Rates
Down from 608/100,000 in 1915 to 26.4 in 2015 (c. 1063 deaths)
More than half of all maternal deaths are thought to be preventable
© 2019 Cengage. All rights reserved.
Changes in Encounters with Death in American Society (4 of 7)
Average Life Expectancy (ALE)
An estimate of the average number of years a group of people will live
From the early 20th century to 2014, overall ALE in the United States increased from <50 years to 78.8 years (>50% gain in just over 100 years)
Primarily due to a major decrease in the numbers of deaths occurring during the early years of life
Differences remain, e.g., females vs. males; Caucasian Americans vs. African Americans
As ALE increases, the elderly are more & more perceived as “the dying” in our society
© 2019 Cengage. All rights reserved.
Changes in Encounters with Death in American Society (5 of 7)
Leading Causes of Death
1900: Communicable Diseases—acute diseases transmitted from person to person
2014: Degenerative Diseases—a set of chronic conditions or causes
long-term wearing out of body organs
deterioration associated with aging, lifestyle, & environment
© 2019 Cengage. All rights reserved.
Changes in Encounters with Death in American Society (6 of 7)
Dying Trajectories
Patterns of dying are defined by:
Duration: the time between the onset of dying & the arrival of death
The “Living-Dying interval"
Shape: the course of the dying process
Can one predict how that process will advance?
Is death is expected or unexpected?
© 2019 Cengage. All rights reserved.
Typical Dying Trajectories by Cause
Communicable Disease
Degenerative Disease
Different Causes of Death are associated with different Dying Trajectories
© 2019 Cengage. All rights reserved.
Changes in Encounters with Death in American Society (7 of 7)
Place of Death
1900: Death mainly occurred “At Home”
Family & loved ones were active participants in:
Caring for the dying person
Preparing the deceased person’s body for death rituals
Since the last half of the 20th Century: Death now most often occurs in a hospital or long-term care facility (i.e., is “Institutionalized”)
Professionals play critical roles in:
Caring for dying persons
Organizing post-death rituals
Families & loved ones are often reduced to spectators
© 2019 Cengage. All rights reserved.
Factors Associated with Changes in Encounters with Death
Six Factors
Industrialization
Public health measures
Preventative health care for individuals
Rise of modern cure-oriented medicine
Nature of contemporary families
Lifestyle
© 2019 Cengage. All rights reserved.